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Acute Gastric Dilatation: A Retrospective Case Series from a Single Institution
Lefika Bathobakae1, Rammy Bashir2, Sophia Venero2
1Internal Medicine, St. Joseph's University Medical Center, Paterson, NJ, USA.
Acute gastric dilatation (AGD) is a rare but fatal condition. This case series highlights the importance of prompt diagnosis and management of AGD to improve patient outcomes.
Area of Science:
- Gastroenterology
- Radiology
- Emergency Medicine
Background:
- Acute gastric dilatation (AGD) involves massive stomach distension due to gas, secretions, or food.
- AGD is a radiological diagnosis with unclear causes, often misdiagnosed due to lack of criteria and awareness.
Observation:
- This case series presents four patients with AGD, predominantly female (75%), aged 53-84 years.
- Common symptoms included abdominal pain, nausea, and vomiting.
- Associated conditions were cancer (50%), acquired duodenal stenosis (25%), and ileus (25%).
Findings:
- AGD represents a surgical emergency with a significant mortality rate (50-100%).
- The case series highlights the varied clinical presentations and underlying causes of AGD.
Implications:
- Increased awareness of AGD among healthcare professionals is crucial for timely diagnosis and intervention.
- Early recognition and management can potentially improve outcomes for this life-threatening condition.
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